IndividualActive
Bruce Johnson, MD
NPI 1619954575 · Family Medicine Physician · Ooltewah, TN
Provider details
- NPI number
- 1619954575
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 28377 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6401 Mountain View Road
Suite 109
Ooltewah, TN 37363-6685
Phone: (423) 495-5951
Fax: (423) 495-5999
Approximate (ZIP-level) locationGet directions
Mailing address
6401 Mountain View Road
Ooltewah, TN 37363-6685
Registry dates
- Enumerated
- 2005-12-30
- Last updated
- 2010-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.